Active NPI
Chienyezuo R Anaba
- Psychiatric/Mental Health Nurse Practitioner
- Greenbelt, MD
National Provider Identifier
1093520082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NP1047163
- Practice address
- 6301 Ivy LN Ste 700
Greenbelt, MD 20770-6330 - Phone
- (410) 881-7522
- Fax
- (443) 276-4258
- NPI assigned
- Feb 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R230479 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NP1047163 | DC | Primary |
Addresses
Primary practice location
6301 Ivy LN Ste 700
Greenbelt, MD 20770-6330
Mailing address
6301 Ivy LN Ste 700
Greenbelt, MD 20770-6330
Phone (410) 881-7522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1047163 | DC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformation Healthcare Inc. | Current | Accepting new patients | |
| Transformation Healthcare Inc. | Current | Accepting new patients | |
| Transformation Healthcare Inc. | Current | Accepting new patients |
Locations
6212 York Rd
Baltimore, MD 21212
Phone (240) 374-3801
6801 Oak Hall Ln
Unit 6462
Columbia, MD 21045
7060 Oakland Mills Rd
Ste L
Columbia, MD 21046
Phone (240) 374-3801
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1861017162
-
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1063017234
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1689525891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1093520082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 IVY LN STE 700",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207706330",
"telephone_number": "410-881-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 IVY LN STE 700",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207706330",
"telephone_number": "410-881-7522",
"fax_number": "443-276-4258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANABA",
"first_name": "CHIENYEZUO",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-08",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R230479",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DC",
"license": "NP1047163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.